Liabilities / Assets
22nd percentile
Higher debt load relative to assets than 22% of similar nonprofits.
EIN 59-3322533 • 501(c)3 • Clermont, FL
Profile
To improve the health and quality of life of the individuals and communities in south lake county.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
22nd percentile
Higher debt load relative to assets than 22% of similar nonprofits.
Liabilities / Revenue
18th percentile
Higher debt load relative to revenue than 18% of similar nonprofits.
Net Margin
78th percentile
Higher net margin than 78% of similar nonprofits.
Top Officer Pay
84th percentile
Higher top officer pay than 84% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
79th percentile
Faster asset growth than 79% of similar nonprofits.
Revenue Growth
56th percentile
Faster revenue growth than 56% of similar nonprofits.
Assets
Up$756,345,073
Up $92,924,911 (+14%) from 2023
Liabilities
Down$61,603,222
Down $19,815,478 (-24%) from 2023
Net Assets
Up$694,741,851
Up $112,740,389 (+19%) from 2023
Revenue
Up$437,923,390
Up $42,027,804 (+11%) from 2023
Expenses
Up$359,296,265
Up $24,255,621 (+7.2%) from 2023
Net Income
Up$78,627,125
Up $17,772,183 (+29%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To improve the health and quality of life of the individuals and communities in south lake county.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $277,870,838 | $303,556,360 | ▲ $25,685,522 |
| Investments in Publicly Traded Securities | $197,605,297 | $245,748,049 | ▲ $48,142,752 |
| Accounts Receivable | $58,611,235 | $48,713,649 | ▼ $9,897,586 |
| Intangible Assets | $38,045,943 | $32,880,746 | ▼ $5,165,197 |
| Inventories for Sale or Use | $4,872,361 | $5,270,237 | ▲ $397,876 |
| Pledges and Grants Receivable | $35,000,000 | $5,000,000 | ▼ $30,000,000 |
| Other Notes and Loans Receivable, Net | $239,443 | $0 | ▼ $239,443 |
| Prepaid Expenses and Deferred Charges | $126,105 | $118,276 | ▼ $7,829 |
| Cash and Non-Interest-Bearing Accounts | $4,788,487 | $1,660 | ▼ $4,786,827 |
| Savings and Temporary Cash Investments | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Rtn Earn Endowment Incm Other Fnds | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $663,420,162 | $756,345,073 | ▲ $92,924,911 |
| Other Assets Total | $46,260,453 | $115,056,096 | ▲ $68,795,643 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $36,494,976 | $31,256,536 | ▼ $5,238,440 |
| Accounts Payable and Accrued Expenses | $21,367,702 | $20,266,867 | ▼ $1,100,835 |
| Other Liabilities | $23,229,379 | $9,771,618 | ▼ $13,457,761 |
| Deferred Revenue | $326,643 | $308,201 | ▼ $18,442 |
| Grants Payable | $0 | - | - |
| Escrow Account Liability | $0 | - | - |
| Tax Exempt Bond Liabilities | $0 | - | - |
| Total Liabilities | $81,418,700 | $61,603,222 | ▼ $19,815,478 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $546,016,347 | $687,748,146 | ▲ $141,731,799 |
| Net Assets With Donor Restrictions | $35,985,115 | $6,993,705 | ▼ $28,991,410 |
| Total Net Assets Fund Balance | $582,001,462 | $694,741,851 | ▲ $112,740,389 |
| Total Liabilities and Net Assets / Fund Balance | $663,420,162 | $756,345,073 | ▲ $92,924,911 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $184,693,749 | $105,849,075 | $290,542,824 |
| Equipment | $78,137,829 | $112,836,168 | $190,973,997 |
| Land | $24,822,067 | - | $24,822,067 |
| Leasehold Improvements | $11,607,193 | $8,074,544 | $19,681,737 |
| Other Land Buildings | $4,295,522 | $0 | $4,295,522 |
| Other Assets Org | $27,473 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $36,803,572 | $342,751 | ▲ $200,391 | $30,294,807 | $6,993,705 |
| 2022 | $51,494,413 | $351,621 | ▲ $120,057 | $15,055,461 | $36,803,572 |
| 2021 | $1,710,939 | $50,005,543 | ▼ $196,645 | $9,145 | $51,494,413 |
| 2020 | $1,580,822 | $23,716 | ▲ $124,398 | $1,698 | $1,710,939 |
| 2019 | $1,596,630 | $87,750 | ▲ $31,999 | $37,315 | $1,580,822 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mahmoud Fuad Bakeer MD | Board Member | FT | $305,850 | $297,616 | $603,466 |
| Paul Mark Johns | Avp, Oh & COO, Slh | FT | $224,021 | $143,808 | $367,829 |
| Jennifer Grafton | Avp, Oh & CFO, Slh | FT | $224,336 | $124,553 | $348,889 |
| Bonnie J Onofre | Board Member until 3/29/24 | FT | $216,002 | $103,359 | $319,361 |
| Bonnie Bennett | Adm, Patient Care | FT | $230,822 | $84,840 | $315,662 |
| Jeanette M Bonstrom | Dir, Pharmacy Services | FT | $182,738 | $59,976 | $242,714 |
| Stephanie Stapelfeldt | Sr. Dir, Human Resources | FT | $135,254 | $91,972 | $227,226 |
| Name | Title |
|---|---|
| Lance E Sewell | Board Member, Chairman/President |
| John A Moore | Former Board Member, Chairman until 09/2020 |
| Amit Varma MD | Board Member, Vice Chairman |
| Mildred Denise Beam | Former Board Member, Vice-Chair (Term End 12/2019) |
| Jeffrey Fitch MD | Board Member |
| Cary J Dtona | Board Member, Secretary/Treasurer |
| Lushantha Sajotha Gunasekera MD | Former Board Member (Term End 12/2019) |
| Leslie Flake | Chief Financial Officer (Until July 2024) |
| Bernadette Spong | Interim Chief Financial Officer (As of July 2024) |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Avi Foodsystems INC | Management Services | 2590 ELM RD NE, Warren, OH 44483 | $2,886,855 |
| Miller And Miller Investigation And Security LLC | Security Services | 6909 OLD HWY 441 STE 112, Mount Dora, FL 32757 | $1,760,726 |
| Wellway LLC | Consulting Services | PO BOX 1349, Mt Dora, FL 32756 | $1,581,350 |
| Medical Development Of Florida LLC | Physician | 639 N ALEXANDER ST, Mt Dora, FL 32757 | $1,426,916 |
| Wiring Technologies INC | Utility Services | 1015 SUNSHINE LANE, Altamonte Springs, FL 32714 | $1,095,503 |
| Line Item | Amount |
|---|---|
| Other Expenses | $199,795,413 |
| Salaries, Compensation, and Employee Benefits | $159,258,841 |
| Grants and Similar Amounts Paid | $242,011 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $121,688,623 | $643,353 | - | $122,331,976 |
| Fees for Services Other | $30,438,017 | $739 | $0 | $30,438,756 |
| Other Employee Benefits | $26,976,506 | $414,014 | - | $27,390,520 |
| Depreciation Depletion | $27,242,371 | - | - | $27,242,371 |
| All Other Expenses | $23,279,564 | $40,663 | $0 | $23,320,227 |
| Occupancy | $23,138,094 | $114,955 | - | $23,253,049 |
| Office Expenses | $10,283,131 | $171,617 | - | $10,454,748 |
| Payroll Taxes | $8,649,650 | $99,557 | - | $8,749,207 |
| Interest | $8,305,375 | - | - | $8,305,375 |
| Insurance | $5,462,340 | - | - | $5,462,340 |
| Other Expenses | $2,600,954 | - | - | $2,600,954 |
| Current Officers, Directors, Trustees, and Key Employees | - | $787,138 | - | $787,138 |
| Information Technology | $213,966 | $20 | - | $213,986 |
| Grants to Domestic Orgs | $200,000 | - | - | $200,000 |
| Travel | $100,338 | $1,852 | - | $102,190 |
| Fees for Services Management | $61,591 | - | - | $61,591 |
| Fees for Services Legal | $59,510 | - | - | $59,510 |
| Conferences and Meetings | $24,924 | $22,120 | - | $47,044 |
| Grants to Domestic Individuals | $42,011 | - | - | $42,011 |
| Advertising | $19,355 | $632 | - | $19,987 |
| Fees for Services Lobbying | $18,441 | - | - | $18,441 |
| Fees for Service Investment Mgmnt Fees | $2,715 | - | - | $2,715 |
| Total Functional Expenses | $356,999,605 | $2,296,660 | $0 | $359,296,265 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Lake Sumter State College | Leesburg, FL | 501(c)(3) | Sponsorship | $200,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Rac Reserve | $4,583,916 |
| Public Assistance Liability | $3,535,432 |
| Third Party Settlements | $1,231,740 |
| Other Liabilities | $420,530 |
“All compensation is paid by parent, orlando health, inc., which has an independent compensation committee that reports to the orlando health board of directors and utilizes the guidelines consistent with the irs guidelines on independent analysis and documentation of compensation. The process, which is used for the president, all officers, executive directors and directors, and was implemented prior to 10/01/2006, was undertaken for the current year.”
“Cary dtona, amit varma md, lance sewell, and leslie flake had a business relationship.”
“The sole voting member of south lake hospital, inc. Is orlando health, inc., fein:59-1726273.”
“Orlando health, inc., the tax-exempt parent organization, elects and approves all board members.”
“Orlando health, inc., sole member of south lake hospital, inc. ("corporation") shall have the following reserved powers, in addition to other powers set forth in the bylaws, to: amend the bylaws of the corporation; elect, appoint or remove any member of any committee or any director, or officer; amend the articles of incorporation of corporation; adopt a plan of merger or consolidation, authorize the sale, lease, exchange or mortgage of the property and assets of the corporation; authorize dissolution or liquidation of the corporation; adopt a plan for distribution of the assets of the corporation; and/or to amend or repeal any resolution of the board of directors. Neither the board of directors nor any committee of the board shall have the authority to exercise any power reserved to member or otherwise extended to member under these bylaws. The ceo of member shall have full authority to take any action or execute any power or responsibility of on behalf of member under these bylaws.”
“The cfo and the finance department reviewed the form 990 and any required changes were made to the form 990. The final form 990 was then provided to all members of the board to review. Any questions about the content were answered and any changes required of the review were made.”
“The parent organization, orlando health, inc., has a dedicated compliance department with an anonymous hotline for reporting. The compliance department performs internal audits and monitors all annual conflict of interest questionnaires for all related organizations. Board members routinely announce conflicts at board meetings and leave the room for the discussion and the vote.”
“These documents are made available to the general public upon request in accordance with federal tax law public inspection requirements.”
“OTHER - Total Revenue: 4391418, Related or Exempt Function Revenue: 4391418, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“other - Total Revenue: 22, Related or Exempt Function Revenue: 22, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“Orlando health south lake hospital provides high-quality inpatient, outpatient and emergency healthcare to the residents of southern lake county and promotes healthy lifestyles to this community. Since its founding in 1947, orlando health south lake hospital has continually expanded its services and community outreach to better serve south lake residents. That commitment culminated in 2000 with the opening of its 180-acre health, wellness and education campus. A jcaho-accredited acute care hospital with 235 beds plus emergency center and physician offices, orlando health south lake hospital has grown to become a cornerstone of the south lake community. It offers a variety of medical services, including diagnostic imaging, cardiology, general surgery, minimally invasive surgery, orthopedics, emergency care with designation as a primary stroke center. The hospital recently opened an expansion to the existing facility, featuring an expanded icu, new intermediate care and progressive care units, and an expansion and renovation of the orlando health south lake hospital center for women and babies. During the fiscal year ended september 30, 2024, orlando health south lake hospital facilities provided 58,307 days of inpatient care, 89,414 outpatient visits and 89,297 emergency department visits. In accordance with its mission, orlando health south lake hospital provided extensive care to patients who meet its charity care guidelines without charge or at amounts less than its established rates. Orlando health south lake hospital also offers community education, school initiatives and support groups. As a not-for-profit healthcare provider, orlando health south lake hospital and its culture of caring touch the lives of many throughout central florida. The hospital's physicians, employees and volunteers know that healthcare extends beyond the walls of the facility. Our dedicated medical professionals and volunteers contribute to the community outside the organization, educating their neighbors and providing medical care to others in the region. Orlando health south lake hospital demonstrates a commitment to promoting health, well-being, and a caring spirit throughout the community by organizing and providing services ranging from wellness events and screenings, to flu shots and high school physicals. These activities bring little or no payment to our hospitals, but are sustained because they are valuable to our region and support our mission. In fy 2024, orlando health south lake hospital provided $20,809,342 in charity care, $4,932,464 in community benefit programs and $16,388,012 in medicaid shortfalls and other means-tested government programs. Increasing access to care examples from key initiatives are included to illustrate the types of successes these programs yield. Mental health first aid training: in fy2024, orlando health continued responding to an identified need for enhanced mental healthcare through a mental health first aid training program. The 2022 community health needs assessment (chna) identified mental health as one of the top community needs in central florida. In all counties, survey respondents ranked mental health problems, including suicide, as either the no. 1 or no. 2 need to address in their community. One way orlando health addressed the issue was by implementing a training program that helps onlookers learn skills to assist someone in a mental health crisis. This training is free of charge to community members either in person or virtually. The curriculum is provided through the national council of mental wellbeing. It is designed for bystanders who may have little to no medical training but may be able to provide initial support to someone in mental health crisis until they are connected with appropriate professional help. Through community-specific scenarios, activities and videos, course participants learn common signs and symptoms of mental health and substance use challenges, how to interact with a per”
“Libby's legacy: in fy 2024, orlando health south lake hospital partnered with libby's legacy to provide increased access to cancer prevention and education through the community grant program. Libby's legacy provides two programs to central florida, including the lake county community: a cancer screening initiative and a mammogram access project. Through this program, libby's legacy supported 354 unique individuals with 693 breast-health service appointments. Of those seen, 148 received a mammogram, and all patients with abnormalities had follow-up appointments scheduled within two weeks of diagnosis. All patients screened received breast-health education and 94% of clients increased their overall comprehensive breast-care knowledge. Lake sumter state college: to increase the number of eligible candidates for the healthcare workforce, orlando health south lake hospital partnered with lake sumter state college through the community grant program. In fiscal year 2022, grant funding supported expanding the college's healthcare workforce program. The goal is to enhance their associate of nursing education program by expanding the dedicated educational unit (deu) delivery model. This will enable the introduction of three new programs for students: medical lab technician, respiratory therapy and physical therapy assistant. As a result of the funding, the expanded associate in science in nursing program has seen an 85% increase in new student capacity, an 80% increase in total enrollment and more than a 200% increase in the number of graduates. The respiratory care program is scheduled to open in fall 2024 with an enrollment capacity of 20 students. The medical lab technician program fall cohort increased its 2023 enrollment capacity by more than 50%, expanding to 24 students from 15. The funding provided through the grant program will make significant impacts in the quality and quantity of healthcare workers able to earn certifications through lake sumter state college. Quality in keeping with its mission to improve the health and quality of life of the individuals and communities it serves, orlando health is committed to consistently delivering the highest quality care for adult and pediatric patients at all levels of medical complexity. In this way, the organization demonstrates not only its core values but how it elevates the lives of its patients. Examples of orlando health's continuous improvement efforts include: dedicated leadership resources focused on quality outcomes each orlando health hospital quality team is led by an onsite chief quality officer (cqo) or chief medical officer (cmo). These experienced physicians and advanced practitioners oversee reviews of every mortality, complication, and serious safety event at their respective campus. These clinical executives are also responsible for actively identifying care gaps and implementing solutions to ensure outcomes are optimized. As an example, aggressive and well-coordinated corrective actions implemented at every site in response to healthcare associated infections (hai) has resulted in world-class performance in reducing this avoidable complication of care. Additionally, system-level resources help ensure a standardized and systematic assessment of quality performance across all orlando health care teams. The development of shared and focused improvement plans in partnership with the onsite quality leaders delivers better care for our patients and their families. Closing gaps of care investments in strategies that close the gaps of care for our patients have resulted in programs such as house calls, remote patient monitoring services, assistance with transportation needs, ever-expanding telehealth services and condition-specific initiatives for patients at a higher risk for poor health outcomes. These newer programs are the latest examples of how orlando health reaches beyond the "basics" of quality clinical care to find creative solutions that address healthcare gap”
“* orlando health south lake is one of six orlando health hospitals to hold the joint commission's gold seal of approval for advanced primary stroke center accreditation. The designation recognizes a hospital's commitment to a higher standard of clinical service and the establishment of a consistent approach to quality stroke care. Accreditation by the joint commission is one of the highest levels of certification that a hospital can receive. * orlando health south lake maintains its national safe sleep hospital certification silver for implementing hospital-wide best practices and educating parents and caregivers on sleep safety to help prevent sudden infant death syndrome (sids). The recognition is conferred by cribs for kids, a national organization that advocates for the standardization of safe sleep practices in alignment with the american academy of pediatrics (aap) guidelines. *orlando health was honored by the american medical association (ama) as a joy in medicine recognized organization at the silver level for demonstrating a commitment to preserving the well-being of physicians through proven efforts to combat work-related stress and burnout. The prestigious ama designation was granted to only 72 organizations in 2023. *for the fifth consecutive year, orlando health has been named among the 150 top places to work in healthcare for 2024 by becker's healthcare. The national list, published in becker's hospital review, features organizations that prioritize workplace excellence and the happiness, satisfaction, well-being and fulfillment of their team members. Recognized orlando health benefits included adoption and fertility assistance, parental leave, tutoring, continuing education benefits, wellness perks and wellness opportunities for physical and mental health. Becker's also highlighted orlando health's commitment to sharing financial achievements with team members who participate in an annual incentive bonus program dependent on the achievement of key organizational goals. *orlando health was selected as an orlando sentinel top workplace for 2024, recognizing companies in central florida that demonstrate a positive work environment and healthy workplace culture. Orlando health ranked sixth out of 15 companies in the large employers category (500+ employees) and was the only hospital and health systems company to earn a spot in this category. Honorees are selected based entirely on employee feedback gathered through an anonymous workplace survey.”
“ROUNDING - -138; CONTRIBUTIONS - TEMP RESTRICTED - 355000; NET REALIZED/UNREALIZED GAINS/LOSSES - TEMP RESTRICTED - 200000; NET ASSETS RELEASED FROM RESTRICTION - TEMP - -23336818; NET ASSETS RELEASED FROM RESTRICTION - EQUIP - 23000000; Other changes and x-items - 97000; Amendment to Live Well Foundation Grant - -7000000; Net Patient Service Revenue - Book/Tax - -68775;”
“Captain homer n. Allen fund for nursing scholarships provides support for scholarships for residents of south lake county and/or employees of south lake hospital who wish to further their education in the field of nursing. Other restricted funds are available for the acquisition of fixed assets and other operating use. Orlando health foundation, inc. (an affiliate of orlando health, inc., a related organization) holds and administers certain donor restricted funds on behalf of south lake hospital. The amount held was $857,987 as of september 30, 2024.”
“Fasb asc topic 740, income taxes, prescribes the accounting for uncertainty in income tax positions recognized in the financial statements. Asc topic 740 provides guidance and measurement of a tax position taken or expected to be taken in a tax return. There were no material uncertain tax positions as of september 30, 2024 and 2023.”
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 32714 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | AVI FOODSYSTEMS INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MILLER AND MILLER INVESTIGATION AND SECURITY LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | WELLWAY LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MEDICAL DEVELOPMENT OF FLORIDA LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | WIRING TECHNOLOGIES INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | MANAGEMENT SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | SECURITY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONSULTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | PHYSICIAN |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | UTILITY SERVICES |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 342041 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 242011 |
| IRS990/CYInvestmentIncomeAmt | 0 | 7047236 |
| IRS990/CYOtherExpensesAmt | 0 | 199795413 |
| IRS990/CYOtherRevenueAmt | 0 | 2994200 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 427539913 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 78627125 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 159258841 |
| IRS990/CYTotalExpensesAmt | 0 | 359296265 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 437923390 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 326643 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 308201 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 27242371 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 27242371 |
| IRS990/Desc | 0 | SEE SCHEDULE O |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonatedServicesAndUseFcltsAmt | 0 | -232031 |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 35985115 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 6993705 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 1903 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 356999605 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 59510 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 59510 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 18441 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 18441 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 61591 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 61591 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 739 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 30438017 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 30438756 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 2715 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 2715 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 57.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 58.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 58.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 57.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 55.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 115173 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 129737 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 25996 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 78288 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 13667 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 174203 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 30370 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 35851 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 59287 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 45736 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 47137 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 134583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 54770 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 93567 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Amit Varma MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Cary J Dtona |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Lance E Sewell |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Bonnie J Onofre |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Jeffrey Fitch MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Mahmoud Fuad Bakeer MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Bernadette Spong |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Leslie Flake |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Bonnie Bennett |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Jeanette M Bonstrom |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Jennifer Grafton |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Paul Mark Johns |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Stephanie Stapelfeldt |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | John A Moore |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Lushantha Sajotha Gunasekera MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Mildred Denise Beam |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 293365 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 525178 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 285292 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 206863 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 289602 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 322093 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 180089 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 834335 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 619315 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 797040 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 2099622 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 818803 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 978555 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 897006 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Board Member, Vice Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Board Member, Secretary/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Board Member, Chairman/President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Board Member until 3/29/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Interim Chief Financial Officer (As of July 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Chief Financial Officer (Until July 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Adm, Patient Care |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Dir, Pharmacy Services |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | AVP, OH & CFO, SLH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | AVP, OH & COO, SLH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Sr. Dir, Human Resources |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Former Board Member, Chairman until 09/2020 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Former Board Member (Term End 12/2019) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Former Board Member, Vice-Chair (Term End 12/2019) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1995 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 4250 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 4243625 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GovernmentGrantsAmt | 0 | 230992 |
| IRS990/GrantAmt | 0 | 242011 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 42011 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 42011 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 200000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 200000 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 4250 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 48419385 |
| IRS990/GrossReceiptsAmt | 0 | 483317121 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 1890258 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 156 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 20 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 213966 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 213986 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 5462340 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 5462340 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 38045943 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 32880746 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 8305375 |
| IRS990/InterestGrp/TotalAmt | 0 | 8305375 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 4872361 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 5270237 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2799361 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2799361 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 197605297 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 245748049 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 226759787 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 277870838 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 303556360 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 530316147 |
| IRS990/LegalDomicileStateCd | 0 | FL |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 44175760 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 1217971 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 22 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 22 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES IN SOUTH LAKE COUNTY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 36494976 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 31256536 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 582001462 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 694741851 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 4247875 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 4247875 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 667598 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 672287 |
| IRS990/NetRentalIncomeOrLossGrp/UnrelatedBusinessRevenueAmt | 0 | 4689 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 3022205 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 41099026 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 546016347 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 687748146 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 114955 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 23138094 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 23253049 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 171617 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 10283131 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 10454748 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 46260453 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 115056096 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -6753731 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 414014 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 26976506 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 27390520 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | ASSESSMENTS |
| IRS990/OtherExpensesGrp/Desc | 2 | PROFESSIONAL FEES |
| IRS990/OtherExpensesGrp/Desc | 3 | ambulance transfers |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 57152423 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 6859888 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 4179818 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 2600954 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 57152423 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 6859888 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 4179818 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 2600954 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 23229379 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 9771618 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 713940 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 622110 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 622110 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | NATIONAL TRAINING CENTER |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | GUEST TRAYS REVENUE |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | community education |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 46072 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 2895 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 2272924 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 46072 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 2895 |
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